| 全直肠系膜切除术在中低位直肠癌治疗的应用 |
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| 引用本文： | 何博华,朱永湘,钱聚标,邱烺,王华,薛福龙,谭国钳.全直肠系膜切除术在中低位直肠癌治疗的应用[J].河南外科学杂志,2003,9(2):9-11. |
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| 作者姓名： | 何博华 朱永湘 钱聚标 邱烺 王华 薛福龙 谭国钳 |
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| 作者单位： | 1. 广东药学院外科教研室,广州,510224
2. 广州市红十字会医院普外科 |
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| 摘 要： | 目的:探讨全直肠系膜切除术在中、低位直肠癌治疗的应用。方法:回顾总结69例行全直肠系膜切除术的中、低位直肠癌病例,分析其疗效、局部复发、并发并发症的处理及预防。结果:围手术期死亡率1.45％(1/69);5年生存率67.6％(25/37);2年局部复发率5.8％(4/69);发生吻合口瘘和吻合口狭窄分别为6例(8.7％)和5例(7.25％)。结论:全直肠系膜切除术可有效降低局部复发率和提高生存率,因而是治疗中、低位直肠癌的理想手术。
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| 关 键 词： | 直肠癌 全直肠系膜切除术 局部复发 吻合口瘘 吻合口狭窄 结肠J型贮袋吻合术 |
The application of Total mesorectal excision in middle and low rectal cancer |
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| Hebohua,et al..The application of Total mesorectal excision in middle and low rectal cancer[J].Henan JOurnal of Surgery,2003,9(2):9-11. |
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| Authors: | Hebohua |
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| Institution: | Hebohua,et al.Department of Surgery,Guangdong Phannic College,Guangzhou,510224 |
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| Abstract: | Objective To investigate the application of Total mesorectal excision in middle and law rectal cancer. Methods 69 operations of Total mesorectal excision performed for middle and law rectal cancer from 1994 to 2001 were retrospectively reviewed , which were analyzed for the therapeutic effect, local recurrence, treatment and prevention of complications. Results Perioperative death rate was 1.45% (1 /69);5-year survival rate was 67.6% ( 25/37 ); Local recurrence rate 2 years after operation was 5.8% ( 4/69 ); The cases with anastomotic leakage and anastomotic constriction was 6(8.7% )and 5(7.25% ) respectively. Conclusion Total mesorectal excision is a perfect operation in the treatment of middle and low rectal cancer for it can reduce local recurrence and improve survival. |
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| Keywords: | Rectal cancer Total mesorectal excision Local recurrence Anastomotic leakage Anastomotic constriction Colonic-J-Pouch anastomosis |
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